Program Withdrawal Form

Please fill out this form to create a record of your Program Withdrawal request.

Fields with '*' are required.

* First Name:

* Last Name:

* Preferred Phone:

(e.g. 555-555-5555)

* Student ID:

* By clicking "Yes" below you verify that you are the person entered above and that you wish to be withdrawn from the program you've entered below. Also, you understand that you will NOT be eligible for any additional financial aid until the next term that you are admitted to an aid-eligible program. If you have any questions related to financial aid, please contact financialaid@fvtc.edu or 920-735-5650.

* Why do you wish to leave the program?

* Program to withdraw from:

Please note that academic advisors are updated twice per year (approximately mid-September and mid-February). You will see previous advisors on your MyFVTC account until the next updates are completed.

There is one final step to complete your request.
Click SUBMIT once to be taken to the next page.